Utah Code 26B-3-1102. False statement or representation relating to medical benefits

26B-3-1102. False statement or representation relating to medical benefits.

(1)	A person may not make or cause to be made a false statement or false representation of a material fact in an application for medical benefits.

Terms Used In Utah Code 26B-3-1102

Benefit: means the receipt of money, goods, or any other thing of pecuniary value. See Utah Code 26B-3-1101
false representation: means a wholly or partially untrue statement or representation which is:

(a)	knowingly made; and

(b)

a material fact with respect to the claim. See Utah Code 26B-3-1101

Medical benefit: means a benefit paid or payable to:

(a)	a health care provider; or

(b)

a recipient or a provider under a program administered by the state under:

(i)	Titles V and XIX of the federal Social Security Act;

(ii)	Title X of the federal Public Health Services Act;

(iii)	the federal Child Nutrition Act of 1966 as amended by Pub. See Utah Code 26B-3-1101 Person: means an individual, corporation, unincorporated association, professional corporation, partnership, or other form of business association. See Utah Code 26B-3-1101
(2)	A person may not make or cause to be made a false statement or false representation of a material fact for use in determining rights to a medical benefit.

(3)

A person, who having knowledge of the occurrence of an event affecting the person’s initial or continued right to receive a medical benefit or the initial or continued right of any other person on whose behalf the person has applied for or is receiving a medical benefit, may not conceal or fail to disclose that event with intent to obtain a medical benefit to which the person or any other person is not entitled or in an amount greater than that to which the person or any other person is entitled.

Renumbered and Amended by Chapter 306, 2023 General Session

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